Online Patient Feedback 1 Step 1 Patient Name (Optional) Patient Emailemail Was this your first visit to Grandview PhysiotherapyYesNo What service(s) have you received? (Please check all that apply)PhysiotherapyMassage TherapyChiropractic CareAcupunctureOrthoticsBraces Chiropody Who was your therapist/doctor? Please rate your level of satisfaction with our performance in the following (1=Strongly Agree, 5=Strongly Disagree): Receptionist was courteous and professional?12345 Treatment goals were explained?12345 Therapist/Doctor was knowledgeable about my condition?12345 Therapist/Doctor was courteous and professional?12345 Therapist/Doctor was helpful during my treatment?12345 Therapist/Doctor took the time to answer my questions?12345 Overall I am satisfied with the treatment I have received?12345 Would you recommend us to a friend or family member?YesNo Do you believe that you are well informed about our services and products?YesNo What would you like to see improved at Grandview Physiotherapy0 / What do you like most about Grandview Physiotherapy0 / Submit keyboard_arrow_leftPrevious Nextkeyboard_arrow_right
